TestjBankjforjBrunnerj&jSuddarth'sjTextbookjofjMedical-SurgicaljNursing,j15thjEdition
Test Bank j j
Brunner&Suddarth's j j
TextbookofMedical- j j
Surgical Nursing, j j
15th Edition j
,TestjBankjforjBrunnerj&jSuddarth'sjTextbookjofjMedical-SurgicaljNursing,j15thjEdition
,TestjBankjforjBrunnerj&jSuddarth'sjTextbookjofjMedical-SurgicaljNursing,j15thjEdition
Chapter 1: Professional Nursing Practice
j j j j
1. Ajnursejhasjbeenjofferedjajpositionjonjanjobstetricjunitjandjhasjlearnedjthatjthejunitjo
ffersjtherapeuticjabortions,jajprocedurejthatjcontradictsjthejnurse'sjpersonaljbeliefs.j
Whatjisjthejnurse'sjethicaljobligationjtojthesejclients?
A. Thejnursejshouldjadherejtojprofessionaljstandardsjofjpracticejandjofferjservicejtojth
esejclients.
B. Thejnursejshouldjmakejthejchoicejtojdeclinejthisjpositionjandjpursuejajdifferentjnursi
ngjrole.
C. Thejnursejshouldjdeclinejtojcarejforjthejclientsjconsideringjabortion.
D. Thejnursejshouldjexpressjalternativesjtojwomenjconsideringjterminatingjtheirjpre
gnancy.
ANS:jB
Rationale:jTojavoidjfacingjthejethicaljdilemmajofjprovidingjcarejthatjcontradictsjthejnurs
e’sjpersonaljbeliefs,jthejnursejshouldjconsiderjworkingjinjanjareajofjnursingjthatjwoul
djnotjposejthisjdilemma.jThejnursejshouldjnotjprovidejcarejtojthejclientjbecausejitjisjajc
onflictjofjpersonaljvalues.jThejnursejshouldjnotjdenyjcarejtojthesejclientsjasjthisjwouldjb
ejajbreachjinjthejCodejofjEthicsjforjnurses.jIfjthejclientjisjnotjrequestingjinformationjforja
lternativesjtojabortions,jthenjthejnursejshouldjnotjbejprovidingjthisjinformation.
PTS:j1jREF:jp.j27
NAT:jClientjNeeds:jSafe,jEffectivejCarejEnvironment:jManagementjofjCarejTOP:jC
hapterj1:jProfessionaljNursingjPractice
KEY:jIntegratedjProcess:jCaringj
BLM:jCognitivejLevel:jApplyjNOT:jMultiplejChoice
2. Anj80-year-oldjclientjisjadmittedjwithjajdiagnosisjofjcommunity-
acquiredjpneumonia.jDuringjadmissionjthejclientjstates,j"Ijhavejajlivingjwill."jW
hatjimplicationjofjthisjshouldjthejnursejrecognize?
A. Thisjdocumentjisjalwaysjhonored,jregardlessjofjcircumstances.
B. Thisjdocumentjspecifiesjthejclient'sjwishesjbeforejhospitalization.
C. Thisjdocumentjisjbindingjforjthejdurationjofjthejclient'sjlife.
, TestjBankjforjBrunnerj&jSuddarth'sjTextbookjofjMedical-SurgicaljNursing,j15thjEdition
D. Thisjdocumentjhasjbeenjdrawnjupjbyjthejclient'sjfamilyjtojdeterminejDNRjstat
us.
ANS:jB
Rationale:jAjlivingjwilljisjonejtypejofjadvancejdirective.jInjmostjsituations,jlivingjwillsj
arejlimitedjtojsituationsjinjwhichjthejclient'sjmedicaljconditionjisjdeemedjterminal.jTh
ejotherjanswersjarejincorrectjbecausejlivingjwillsjarejnotjalwaysjhonoredjinjeveryjcircu
mstance,jtheyjarejnotjbindingjforjthejdurationjofjthejclient'sjlife,jandjtheyjarejnotjdrawn
upjbyjthejclient'sjfamily.
j
PTS:j1jREF:jp.j29
NAT:jClientjNeeds:jSafe,jEffectivejCarejEnvironment:jManagementjofjCarejTOP:jC
hapterj1:jProfessionaljNursingjPractice
KEY:jIntegratedjProcess:jCommunicationjandjDocumentationjBLM:jCognitivejLev
el:jAnalyze
NOT:jMultiplejChoice
3. Ajnursejhasjbeenjprovidingjethicaljcarejforjmanyjyearsjandjisjawarejofjthejneedjtojma
intainjthejethicaljprinciplejofjnonmaleficence.jWhichjofjthejfollowingjactionsjwouldjbej
consideredjajviolationjofjthisjprinciple?
A. DiscussingjajDNRjorderjwithjajterminallyjilljclient
B. Assistingjajsemi-independentjclientjwithjADLs
C. Refusingjtojadministerjpainjmedicationjasjprescribed
D. ProvidingjmorejcarejforjonejclientjthanjforjanotherjAN
S:jC
Rationale:jThejdutyjnotjtojinflictjasjwelljasjpreventjandjremovejharmjisjtermedjnonmalefi
cence.jDiscussingjajDNRjorderjwithjajterminallyjilljclientjandjassistingjajclientjwithjADLsjw
ouldjnotjbejconsideredjcontradictionsjtojthejnurse'sjdutyjofjnonmaleficence.jSomejclient
sjjustifiablyjrequirejmorejcarejthanjothers.
PTS:j1jREF:jp.j25
NAT:jClientjNeeds:jSafe,jEffectivejCarejEnvironment:jManagementjofjCare
Test Bank j j
Brunner&Suddarth's j j
TextbookofMedical- j j
Surgical Nursing, j j
15th Edition j
,TestjBankjforjBrunnerj&jSuddarth'sjTextbookjofjMedical-SurgicaljNursing,j15thjEdition
,TestjBankjforjBrunnerj&jSuddarth'sjTextbookjofjMedical-SurgicaljNursing,j15thjEdition
Chapter 1: Professional Nursing Practice
j j j j
1. Ajnursejhasjbeenjofferedjajpositionjonjanjobstetricjunitjandjhasjlearnedjthatjthejunitjo
ffersjtherapeuticjabortions,jajprocedurejthatjcontradictsjthejnurse'sjpersonaljbeliefs.j
Whatjisjthejnurse'sjethicaljobligationjtojthesejclients?
A. Thejnursejshouldjadherejtojprofessionaljstandardsjofjpracticejandjofferjservicejtojth
esejclients.
B. Thejnursejshouldjmakejthejchoicejtojdeclinejthisjpositionjandjpursuejajdifferentjnursi
ngjrole.
C. Thejnursejshouldjdeclinejtojcarejforjthejclientsjconsideringjabortion.
D. Thejnursejshouldjexpressjalternativesjtojwomenjconsideringjterminatingjtheirjpre
gnancy.
ANS:jB
Rationale:jTojavoidjfacingjthejethicaljdilemmajofjprovidingjcarejthatjcontradictsjthejnurs
e’sjpersonaljbeliefs,jthejnursejshouldjconsiderjworkingjinjanjareajofjnursingjthatjwoul
djnotjposejthisjdilemma.jThejnursejshouldjnotjprovidejcarejtojthejclientjbecausejitjisjajc
onflictjofjpersonaljvalues.jThejnursejshouldjnotjdenyjcarejtojthesejclientsjasjthisjwouldjb
ejajbreachjinjthejCodejofjEthicsjforjnurses.jIfjthejclientjisjnotjrequestingjinformationjforja
lternativesjtojabortions,jthenjthejnursejshouldjnotjbejprovidingjthisjinformation.
PTS:j1jREF:jp.j27
NAT:jClientjNeeds:jSafe,jEffectivejCarejEnvironment:jManagementjofjCarejTOP:jC
hapterj1:jProfessionaljNursingjPractice
KEY:jIntegratedjProcess:jCaringj
BLM:jCognitivejLevel:jApplyjNOT:jMultiplejChoice
2. Anj80-year-oldjclientjisjadmittedjwithjajdiagnosisjofjcommunity-
acquiredjpneumonia.jDuringjadmissionjthejclientjstates,j"Ijhavejajlivingjwill."jW
hatjimplicationjofjthisjshouldjthejnursejrecognize?
A. Thisjdocumentjisjalwaysjhonored,jregardlessjofjcircumstances.
B. Thisjdocumentjspecifiesjthejclient'sjwishesjbeforejhospitalization.
C. Thisjdocumentjisjbindingjforjthejdurationjofjthejclient'sjlife.
, TestjBankjforjBrunnerj&jSuddarth'sjTextbookjofjMedical-SurgicaljNursing,j15thjEdition
D. Thisjdocumentjhasjbeenjdrawnjupjbyjthejclient'sjfamilyjtojdeterminejDNRjstat
us.
ANS:jB
Rationale:jAjlivingjwilljisjonejtypejofjadvancejdirective.jInjmostjsituations,jlivingjwillsj
arejlimitedjtojsituationsjinjwhichjthejclient'sjmedicaljconditionjisjdeemedjterminal.jTh
ejotherjanswersjarejincorrectjbecausejlivingjwillsjarejnotjalwaysjhonoredjinjeveryjcircu
mstance,jtheyjarejnotjbindingjforjthejdurationjofjthejclient'sjlife,jandjtheyjarejnotjdrawn
upjbyjthejclient'sjfamily.
j
PTS:j1jREF:jp.j29
NAT:jClientjNeeds:jSafe,jEffectivejCarejEnvironment:jManagementjofjCarejTOP:jC
hapterj1:jProfessionaljNursingjPractice
KEY:jIntegratedjProcess:jCommunicationjandjDocumentationjBLM:jCognitivejLev
el:jAnalyze
NOT:jMultiplejChoice
3. Ajnursejhasjbeenjprovidingjethicaljcarejforjmanyjyearsjandjisjawarejofjthejneedjtojma
intainjthejethicaljprinciplejofjnonmaleficence.jWhichjofjthejfollowingjactionsjwouldjbej
consideredjajviolationjofjthisjprinciple?
A. DiscussingjajDNRjorderjwithjajterminallyjilljclient
B. Assistingjajsemi-independentjclientjwithjADLs
C. Refusingjtojadministerjpainjmedicationjasjprescribed
D. ProvidingjmorejcarejforjonejclientjthanjforjanotherjAN
S:jC
Rationale:jThejdutyjnotjtojinflictjasjwelljasjpreventjandjremovejharmjisjtermedjnonmalefi
cence.jDiscussingjajDNRjorderjwithjajterminallyjilljclientjandjassistingjajclientjwithjADLsjw
ouldjnotjbejconsideredjcontradictionsjtojthejnurse'sjdutyjofjnonmaleficence.jSomejclient
sjjustifiablyjrequirejmorejcarejthanjothers.
PTS:j1jREF:jp.j25
NAT:jClientjNeeds:jSafe,jEffectivejCarejEnvironment:jManagementjofjCare
